Joelle Abed Elahad Dental Corp
Clinic/Center, Dental in Agoura Hills, CA. Organization (NPI-2).
NPI number1164097945
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1164097945
- Entity type
- Organization (NPI-2)
- Legal business name
- Joelle Abed Elahad Dental Corp
- Organization subpart
- No
- Enumeration date
- May 24, 2021
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- The Smile Spa (Doing Business As)
Practice location
27509 Agoura Rd Ste 200Agoura Hills, CA 91301-5149
Phone 805-300-4421
Mailing address
27509 Agoura Rd Ste 200Agoura Hills, CA 91301-5149
Phone 805-300-4421
Authorized official
Joelle Abed Elahad
President
8053004421
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